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2016 Cardinal Basketball Academy Boy's and Girl's Basketball Camp At CARDINAL BASKETBALL ACADEMY REGISTRATION FORM 24th Annual Boy’s and Girl’s Basketball Camp at Catholic University NAME_________________________________________________PLEASE CIRCLE: BOY GIRL ADDRESS___________________________________________________________________________ CITY___________________________________STATE_________________ZIP CODE___________ AGE AS OF 6-20-16___________CIRCLE YOUTH/ADULT SHIRT SIZE: YM YL AS AM AL AXL AXXL 2016 Cardinal SCHOOL NAME_______________________ GRADE (ENTERING FALL 2016)____________ Basketball PARENT/GUARDIAN NAME_________________________________________________ Returning Camper Yes/NO Academy DAYTIME PHONE #____________________________CELL PHONE #_____________________ Boy’s and Girl’s HOME PHONE #__________________________________PARENTS EMAIL__________________________ Basketball Camp at CHECK SESSION/S REGISTERING FOR : JUNE 20-24 ______ JULY 18-22______ AUGUST 15-19______ Catholic University EXTENDED CARE AVAILABLE FROM 8-9AM AND 4-5PM FOR $40 PER WEEK EXTENDED CARE PLEASE CHECK: YES_____NO_____ *PLEASE NOTE: Any camper picked up after the 5 p.m. Extended Care deadline will incur a $10.00 daily late fee for the day in which the infraction occurred. Any camper not picked up by the Day Camp Deadline will incur an Extended Care charge. PARENT AUTHORIZATION AND GENERAL RELEASE FROM LIABILITY I, ______________________________, AM SIGNING ON BEHALF OF MY CHILD________________, AND I AM AT LEAST 18 YEARS OLD, LEGALLY COM- PETENT, AND I UNDERSTAND AND AGREE THAT THE TERMS BELOW ARE CONTRACTUAL. MY INTENT IN SIGNING THIS DOCUMENT IS TO ACKNOWLEDGE AND ASSUME THE RISKS INVOLVED IN THIS UNDERTAKING AND TO RELEASE CARDINAL BASKETBALL ACADEMY, LLC, ITS AGENTS, STAFF, EMPLOYEES AND ASSIGNS, OF AND FROM ANY LIABILITY WITH RESPECT TO MY CHILD’S INVOLVEMENT, INJURY OR DEATH IN THIS ACTIVITY DUE TO NEGLIGENCE OR NOT. I APPROVE OF MY CHILD’S ATTENDANCE AT THIS ACTIVITY AND CERTIFY THAT HE/SHE IS IN GOOD HEALTH AND IS FIT TO PARTICIPATE. I UNDERSTAND THAT THERE ARE INHERENT RISKS IN THIS STRENUOUS ACTIVITY, WHICH HAVE BEEN CON- SIDERED AND WHICH THE PARTICIPANT ASSUMES. PARTICIPANT HAS MEDICAL INSURANCE. I AGREE TO HOLD HARMLESS CARDINAL BASKET- BALL ACADEMY, LLC, THE CATHOLIC UNIVERSITY OF AMERICA AND THEIR AGENTS FROM CLAIMS OR DAMAGES DUE TO INJURY TO PERSON OR PROPERTY ARISING FROM MY CHILD’S PARTICIPATION IN THIS CAMP. I INTEND FOR THIS RELEASE TO APPLY TO ANY NEXT OF KIN, RELATIVES, PERSONAL REPRESENTATIVES, HEIRS, BENEFICIARIES, OR ASSIGNS WHO MIGHT PURSUE LEGAL ACTION ON MY AND/OR MY CHILD’S BEHALF. I CONSENT TO EMERGENCY TREATMENT FOR MY CHILD, IF IN THE JUDGMENT OF CARDINAL BASKETBALL ACADEMY, LLC, IT IS REQUIRED. AND UNDERSTAND I AM FINANCIALLY RESPONSIBLE FOR ANY MEDICALS BILLS INCURRED AS A RESULT OF MEDICAL TREATMENT PROVIDED TO THE CAMPER. I hereby authorize the Cardinal Basketball Academy to utilize photos taken in camp activities in future publications and advertisements. THIS WAIVER HAS BEEN READ AND UNDERSTOOD AND IS SIGNED VOLUNTARILY BY ME AS LEGAL REPRESENTATIVE FOR THIS PARTICIPANT. PARENT OR GUARDIAN’S SIGNATURE: ___________________________________________________DATE:_________ EMERGENCY INFORMATION Allergies :________________________________________________________________________________________________ PERSON TO CONTACT IN CASE OF EMERGENCY:_____________________________________PHONE #:_________________ COST: $190.00 PER WEEK OR $165.00 PER WEEK IF YOU ATTEND ALL THREE SESSIONS. REGISTER BEFORE MAY 1ST AND PAY $150.00 PER SESSION, or BEFORE JUNE 1ST AND PAY $170.00 PER SESSION Home of the 2001 SPECIAL GROUP DISCOUNTS FOR GROUPS OF FIVE OR MORE. CALL FOR DETAILS. SEND REGISTRATION FORM AND $100 NON REFUNDABLE DEPOSIT FOR EACH SESSION ATTENDING NCAA Division III CARDINAL BASKETBALL ACADEMY Camp Staff Camp Directors Dates: June 20-24, 2016 The instructional staff will consist of CUA assistant July 18-22, 2016 coaches and players, other Washington area coaches and both current and former collegiate players. CUA Men’s Coach August 15-19, 2016 Steve Howes CUA ‘96 Time: 9:00AM - 4:00PM Camp Objectives Steve Howes is entering his 13th year as the second winningest coach in school history. He Location: Catholic University’s Through a week of teaching basketball fundamentals was the 2013 Landmark Conference Coach of Dufour Athletic Center and competition, we hope that each young player the Year, and a finalist for National Coach of the Year. He *Located 6 Blocks From Brookland-CUA Metro Stop leaves camp as a better basketball player. A small has guided the Cardinals to multiple Landmark and Capital Athletic Conference championships and NCAA Tourna- counselor to camper ratio ensures that all players re- ceive individual attention during the week. We want ments, including a 2016 Landmark Conference regular Age: 7-15 season and tournament title, and NCAA Tournament ap- all campers to walk away from camp having had a pearance last March. Howes has mentored at least one 1st positive experience with the game of basketball. Team All-Conference winner in 11 of his 12 seasons as Cost: $190.00 PER WEEK OR $170.00 PER Head Coach. Additionally, Howes mentored the Landmark WEEK IF YOU ATTEND ALL THREE WEEKS Conference Player of the Year, Rookie of the Year, Defen- *WALK UP REGISTRATIONS ACCEPTED sive Player of the Year, and Sportsman of the Year in 2015. Camp Activities A former player and assistant under coach Mike Lonergan, Deposit: NON REFUNDABLE $100.00 PER SESSION Each day will include opportunities for the following: Howes assisted with the recruitment of the 2001 National Championship team. He has conducted workouts for a myr- Stretching Camp Contests iad of college and professional players. Among the athletes EARLY BIRD SPECIAL: REGISTER BEFORE MAY 1ST Shooting Rebounding he helped develop is 12-year NBA veteran guard Roger Individual Instruction Defense AND PAY $150.00, or BEFORE Mason Ball Handling Swimming JUNE 1ST AND PAY $170.00 Games Agility Offensive Moves Fundamental Stations GROUP DISCOUNTS: SIBLINGS OR GROUPS OF 5 CUA Women’s Coach OR MORE! Call for Details Matt Donohue Centenary College ‘94 Extended Care Available: $40 per week from CUA Men’s Highlights 2001 National Champions In his 16 years as a head coach, Matt 8—9 AM & 4—5PM Donohue has guided multiple regionally and 2001, 2000 Elite Eight $20 Penalty Rate per day nationally ranked programs to postseason Five Straight Sweet Sixteens play. A three-time Coach of the Year Award recipient, if picked up after 5:00 p.m. (1998-2002) Donohue has mentored multiple All-Conference, All-Region, NCAA Tournament Appearances: and All-American athletes, as well as Conference Player of CONTACTS: STEVE HOWES 202-319-6046 ‘16, ‘15, ‘13, ‘07, ‘06, ‘04, ‘03, ‘02, ‘01, ‘00, the Year and Rookie of the Year recipients. Donohue has mentored at least one 1st Team Landmark Conference MATT DONOHUE 202-319-4951 ‘99, ‘98, ‘96, ‘93, ‘64, ‘44 award winner in seven of his eight seasons at the helm, while placing multiple players on the 1st Team Award list on MAKE CHECKS PAYABLE TO: multiple occasions. In 2014, Donohue guided CUA to the program’s first ever ECAC Tournament Championship. In CARDINAL BASKETBALL ACADEMY CUA Women’s Highlights 2015 Donohue and the Lady Cardinals won the Landmark Landmark Conference Champions Conference Tournament title for the third time in four sea- sons, also leading CUA to their third NCAA Tournament MAIL APPLICATION & DEPOSIT TO: 2011-12, 2012-13, 2014-15 appearance in four seasons as well. CARDINAL BASKETBALL ACADEMY CAC Regular Season Conference Champions C/O STEVE HOWES, CO-DIRECTOR NCAA/ECAC Tournament Appearance The 2013 WBCA Russell Athletic Victory Club Award Recip- 2004, 2005, 2006, 2011, 2012, 2013, 2014, 2015 ient, Donohue is the all-time winningest coach in CUA Wom- 19629 ISLANDER STREET 2011 ECAC Championship Runners-Up en’s Basketball history with more than 200 victories in his OLNEY, MARYLAND 20832 2014 ECAC Champions career. .
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